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f <br /> .A PRc PRC PATTERSON, INC. <br /> DBA Refineries Service STATE MANIFEST#` z`i r� <br /> USED OIL HAULER# 86 050 <br /> j 4 13331 N. Hwy 331 P.O.$ox 1167EPA# CAD083166728 <br /> Patterson, CA 95363 <br /> '`"'�` (209) 892-67421{800) 874-4444 HAZARDOUS WASTE <br /> E} AIf��Ed/E ' � gjVlejjf HAULER REG# 2591 <br /> I7 �" �I I7I +�. _ INV.# 05330 <br /> DATE <br /> Ci <br /> D T <br /> U WO-ING ADDRESS IF DIFFERENT E CASH <br /> fl 0 <br /> O M NET 10 DA <br /> M :CrrlY A Q. PHO" GIT1' STATE ZIP SPOE # <br /> A40 <br /> • PLEASE PAY FROM THIS INVOICE , <br /> PRODUCT <br /> GALLONS HOURS RATE AMOUNT <br /> vo <br /> HAZARDOUS WASTE OIL <br /> H TEST PEE <br /> HAZARDOUS WASTE <br /> l►' HOURLY CHARGES <br /> I <br /> 1 ortif unt n ova to be correct. <br /> r <br /> i <br /> (Customer Signature) (Driver ' nature) <br /> PAYMENT E,t it UPON RECEIPT OF:INVOICE.A service charge of 1!/,%per month shall be charged TOTAL CHARGES <br /> on al{past due accounts. in the event this account becorhes delinquent and it is necessary to institute <br /> legal proceedings,purchaser agrees to pay reasonable attorney's fee and court costs. <br /> SSINVMMP91 WHITE:Customw CANARY:Alphabetical PINK:Numeric GOLDENROD:File <br />